Trial Outcomes & Findings for Prevention of Recurrent Gastric or Duodenal Ulcers Caused by Low-dose Aspirin With Rabeprazole (E3810) Treatment (Planetarium Study) (NCT NCT01397448)

NCT ID: NCT01397448

Last Updated: 2014-11-26

Results Overview

Mucosal injuries with a white coat measuring 3 mm in diameter will be diagnosed as ulcers. When ulcer is confirmed by endoscopic examination during the trial, it will be regarded as recurrence of ulcer and the trial will be discontinued for the patient involved.

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

472 participants

Primary outcome timeframe

24 weeks

Results posted on

2014-11-26

Participant Flow

Participant milestones

Participant milestones
Measure
Rabeprazole 5 mg
Orally administered E3810 (Rabeprazole) 5mg tablet and E3810 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Rabeprazole 10 mg
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Teprenone 150 mg
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg capsule three times daily after each meal.
Overall Study
STARTED
156
157
158
Overall Study
COMPLETED
138
142
140
Overall Study
NOT COMPLETED
18
15
18

Reasons for withdrawal

Reasons for withdrawal
Measure
Rabeprazole 5 mg
Orally administered E3810 (Rabeprazole) 5mg tablet and E3810 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Rabeprazole 10 mg
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Teprenone 150 mg
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg capsule three times daily after each meal.
Overall Study
Adverse Event
4
4
6
Overall Study
Withdrawal by Subject
4
4
3
Overall Study
Lack of Efficacy
2
0
5
Overall Study
Other
8
7
4

Baseline Characteristics

Prevention of Recurrent Gastric or Duodenal Ulcers Caused by Low-dose Aspirin With Rabeprazole (E3810) Treatment (Planetarium Study)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rabeprazole 5 mg
n=156 Participants
Orally administered E3810 (Rabeprazole) 5mg tablet and E3810 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Rabeprazole 10 mg
n=157 Participants
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Teprenone 150 mg
n=158 Participants
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg capsule three times daily after each meal.
Total
n=471 Participants
Total of all reporting groups
Age, Continuous
69.3 Years
STANDARD_DEVIATION 8.9 • n=5 Participants
70.1 Years
STANDARD_DEVIATION 9.6 • n=7 Participants
69.4 Years
STANDARD_DEVIATION 7.9 • n=5 Participants
69.6 Years
STANDARD_DEVIATION 8.8 • n=4 Participants
Sex: Female, Male
Female
35 Participants
n=5 Participants
36 Participants
n=7 Participants
41 Participants
n=5 Participants
112 Participants
n=4 Participants
Sex: Female, Male
Male
121 Participants
n=5 Participants
121 Participants
n=7 Participants
117 Participants
n=5 Participants
359 Participants
n=4 Participants
Antiplatelet Drug or Anticoagulant Drug
Yes
30 Participants
n=5 Participants
34 Participants
n=7 Participants
35 Participants
n=5 Participants
99 Participants
n=4 Participants
Antiplatelet Drug or Anticoagulant Drug
No
126 Participants
n=5 Participants
123 Participants
n=7 Participants
123 Participants
n=5 Participants
372 Participants
n=4 Participants
Daily Dose of Low-Dose Aspirin
81 mg
12 Participants
n=5 Participants
14 Participants
n=7 Participants
16 Participants
n=5 Participants
42 Participants
n=4 Participants
Daily Dose of Low-Dose Aspirin
100 mg
144 Participants
n=5 Participants
143 Participants
n=7 Participants
142 Participants
n=5 Participants
429 Participants
n=4 Participants
Diagnostic Test of H.pylori. (IgG Antibody)
Positive
72 Participants
n=5 Participants
67 Participants
n=7 Participants
77 Participants
n=5 Participants
216 Participants
n=4 Participants
Diagnostic Test of H.pylori. (IgG Antibody)
Negative
84 Participants
n=5 Participants
90 Participants
n=7 Participants
81 Participants
n=5 Participants
255 Participants
n=4 Participants
Primary Disease
Angina Pectoris (Yes)
68 Participants
n=5 Participants
63 Participants
n=7 Participants
66 Participants
n=5 Participants
197 Participants
n=4 Participants
Primary Disease
Angina Pectoris (No)
88 Participants
n=5 Participants
94 Participants
n=7 Participants
92 Participants
n=5 Participants
274 Participants
n=4 Participants
Primary Disease
Myocardial Infarction (Yes)
27 Participants
n=5 Participants
31 Participants
n=7 Participants
33 Participants
n=5 Participants
91 Participants
n=4 Participants
Primary Disease
Myocardial Infarction (No)
129 Participants
n=5 Participants
126 Participants
n=7 Participants
125 Participants
n=5 Participants
380 Participants
n=4 Participants
Primary Disease
Ischemic Cerebrovascular Disease (Yes)
79 Participants
n=5 Participants
77 Participants
n=7 Participants
78 Participants
n=5 Participants
234 Participants
n=4 Participants
Primary Disease
Ischemic Cerebrovascular Disease (No)
77 Participants
n=5 Participants
80 Participants
n=7 Participants
80 Participants
n=5 Participants
237 Participants
n=4 Participants
Primary Disease
Coronary Arterial Bypass Grafting or PTCA (Yes)
52 Participants
n=5 Participants
51 Participants
n=7 Participants
48 Participants
n=5 Participants
151 Participants
n=4 Participants
Primary Disease
Coronary Arterial Bypass Grafting or PTCA (No)
104 Participants
n=5 Participants
106 Participants
n=7 Participants
110 Participants
n=5 Participants
320 Participants
n=4 Participants
Primary Disease
Other (Yes)
6 Participants
n=5 Participants
10 Participants
n=7 Participants
9 Participants
n=5 Participants
25 Participants
n=4 Participants
Primary Disease
Other (No)
150 Participants
n=5 Participants
147 Participants
n=7 Participants
149 Participants
n=5 Participants
446 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 24 weeks

Population: Defined as all randomized participants who received at least one dose of the study drug and showed no ulcers at baseline, and from whom the results of at least one endoscopic assessment was available.

Mucosal injuries with a white coat measuring 3 mm in diameter will be diagnosed as ulcers. When ulcer is confirmed by endoscopic examination during the trial, it will be regarded as recurrence of ulcer and the trial will be discontinued for the patient involved.

Outcome measures

Outcome measures
Measure
Rabeprazole 5 mg
n=150 Participants
Orally administered E3810 (Rabeprazole) 5mg tablet and E3810 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Rabeprazole 10 mg
n=151 Participants
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Teprenone 150 mg
n=151 Participants
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg capsule three times daily after each meal.
Cumulative Recurrent Rates of Gastric or Duodenal Ulcers
2.8 Events/100 participants/24 weeks
Interval 1.04 to 7.17
1.4 Events/100 participants/24 weeks
Interval 0.35 to 5.51
21.7 Events/100 participants/24 weeks
Interval 15.84 to 29.27

SECONDARY outcome

Timeframe: 24 weeks

Population: Defined as all randomized participants who received at least one dose of the study drug and showed no ulcers at baseline, and from whom the results of at least one endoscopic assessment was available.

Outcome measures

Outcome measures
Measure
Rabeprazole 5 mg
n=150 Participants
Orally administered E3810 (Rabeprazole) 5mg tablet and E3810 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Rabeprazole 10 mg
n=151 Participants
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Teprenone 150 mg
n=151 Participants
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg capsule three times daily after each meal.
Cumulative Incidence of Bleeding Ulcers
0 Events/100 participants/24 weeks
Interval 0.0 to 0.0
0 Events/100 participants/24 weeks
Interval 0.0 to 0.0
4.6 Events/100 participants/24 weeks
Interval 2.24 to 9.48

Adverse Events

Rabeprazole 5 mg

Serious events: 10 serious events
Other events: 48 other events
Deaths: 0 deaths

Rabeprazole 10 mg

Serious events: 6 serious events
Other events: 46 other events
Deaths: 0 deaths

Teprenone 150 mg

Serious events: 10 serious events
Other events: 41 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rabeprazole 5 mg
n=156 participants at risk
Orally administered E3810 (Rabeprazole) 5mg tablet and E3810 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Rabeprazole 10 mg
n=157 participants at risk
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Teprenone 150 mg
n=158 participants at risk
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg capsule three times daily after each meal.
Blood and lymphatic system disorders
Anaemia
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Cardiac disorders
Angina pectoris
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
1.3%
2/158 • 24 weeks
Gastrointestinal disorders
Duodenal ulcer
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Gastrointestinal disorders
Duodenal ulcer haemorrhage
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Gastrointestinal disorders
Gastric ulcer haemorrhage
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Gastrointestinal disorders
Pancreatitis acute
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks
Gastrointestinal disorders
Vomiting
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks
General disorders
Chest discomfort
0.00%
0/156 • 24 weeks
0.64%
1/157 • 24 weeks
0.00%
0/158 • 24 weeks
Hepatobiliary disorders
Cholecystitis acute
0.00%
0/156 • 24 weeks
0.64%
1/157 • 24 weeks
0.00%
0/158 • 24 weeks
Infections and infestations
Pneumonia
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Infections and infestations
Pneumonia mycoplasmal
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Injury, poisoning and procedural complications
Spinal compression fracture
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks
Injury, poisoning and procedural complications
Subdural haematoma
0.00%
0/156 • 24 weeks
0.64%
1/157 • 24 weeks
0.00%
0/158 • 24 weeks
Metabolism and nutrition disorders
Diabetes mellitus inadequate control
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks
Metabolism and nutrition disorders
Hypoglycaemia
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks
Musculoskeletal and connective tissue disorders
Polymyalgia rheumatica
0.00%
0/156 • 24 weeks
0.64%
1/157 • 24 weeks
0.00%
0/158 • 24 weeks
Musculoskeletal and connective tissue disorders
Rotator cuff syndrome
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bile duct cancer
0.00%
0/156 • 24 weeks
0.64%
1/157 • 24 weeks
0.00%
0/158 • 24 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung neoplasm malignant
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric adenoma
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks
Nervous system disorders
Carotid artery stenosis
0.00%
0/156 • 24 weeks
0.64%
1/157 • 24 weeks
0.00%
0/158 • 24 weeks
Nervous system disorders
Carpal tunnel syndrome
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Nervous system disorders
Embolic stroke
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Renal and urinary disorders
Renal artery stenosis
0.00%
0/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.63%
1/158 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Pneumonia aspiration
0.64%
1/156 • 24 weeks
0.00%
0/157 • 24 weeks
0.00%
0/158 • 24 weeks

Other adverse events

Other adverse events
Measure
Rabeprazole 5 mg
n=156 participants at risk
Orally administered E3810 (Rabeprazole) 5mg tablet and E3810 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Rabeprazole 10 mg
n=157 participants at risk
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg tablet once daily after breakfast; and orally administered Teprenone 50mg placebo capsule three times daily after each meal.
Teprenone 150 mg
n=158 participants at risk
Orally administered E3810 (Rabeprazole) 5mg placebo tablet and 10mg placebo tablet once daily after breakfast; and orally administered Teprenone 50mg capsule three times daily after each meal.
Gastrointestinal disorders
Constipation
0.64%
1/156 • 24 weeks
3.2%
5/157 • 24 weeks
3.8%
6/158 • 24 weeks
Gastrointestinal disorders
Diarrhoea
2.6%
4/156 • 24 weeks
3.8%
6/157 • 24 weeks
1.3%
2/158 • 24 weeks
Infections and infestations
Nasopharyngitis
16.0%
25/156 • 24 weeks
14.0%
22/157 • 24 weeks
15.8%
25/158 • 24 weeks
Infections and infestations
Pharyngitis
3.8%
6/156 • 24 weeks
0.64%
1/157 • 24 weeks
1.3%
2/158 • 24 weeks
Infections and infestations
Upper respiratory tract infection
3.2%
5/156 • 24 weeks
1.9%
3/157 • 24 weeks
1.3%
2/158 • 24 weeks
Injury, poisoning and procedural complications
Contusion
2.6%
4/156 • 24 weeks
0.00%
0/157 • 24 weeks
1.9%
3/158 • 24 weeks
Metabolism and nutrition disorders
Diabetes mellitus
2.6%
4/156 • 24 weeks
1.3%
2/157 • 24 weeks
0.63%
1/158 • 24 weeks
Respiratory, thoracic and mediastinal disorders
Epistaxis
0.00%
0/156 • 24 weeks
0.64%
1/157 • 24 weeks
2.5%
4/158 • 24 weeks
Skin and subcutaneous tissue disorders
Eczema
0.64%
1/156 • 24 weeks
3.8%
6/157 • 24 weeks
0.63%
1/158 • 24 weeks
Vascular disorders
Hypertension
0.00%
0/156 • 24 weeks
3.2%
5/157 • 24 weeks
1.9%
3/158 • 24 weeks

Additional Information

Nobuyuki Sugisaki

Eisai Co., Ltd.

Phone: +81-3-3817-3908

Results disclosure agreements

  • Principal investigator is a sponsor employee Other disclosure agreement that restricts the right of the PI to discuss or publish trial results after the trial is completed.
  • Publication restrictions are in place

Restriction type: OTHER